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Tracking Health System Performance

The Commonwealth Fund has a longstanding interest in tracking the performance of health care in the United States. Since 2006, our health system scorecards have measured how well the nation performs relative to achievable benchmarks for access, quality, efficiency, outcomes, and equity. And, since 2004, Fund case studies have explored promising practices and models across the country for delivering better, more efficient health care.

The Fund’s Tracking Health System Performance program seeks to inform and engage policymakers, health system leaders and practitioners, community leaders, and the public by:

  • Monitoring and assessing health system performance at the national, state, and local levels, including the effects of changes in policy and practice.
  • Increasing awareness of gaps in health care performance as well as opportunities to improve by learning about “what works” in health care delivery.
  • Supporting research and analysis across Commonwealth Fund programs.

Today offers a whole range of tools and resources on health system performance. Visitors can download comparative information in the Health System Data Center; use the Quality–Spending Interactive to learn about the relationship between health care quality and spending in Medicare in all regions of the country; and model the impact of improvements in each state’s performance through the Best State Interactive. Additional resources profile high-need, high-cost patients and promising care models for this population; assess state trends in premiums and deductibles for employer-sponsored insurance; and compare states on scorecard measures of health care access and affordability.

Program Contact:

David C. Radley, Senior Scientist

Our Experts

David C. Radley

Senior Scientist, Tracking Health System Performance